Journal of Diabetes Science and Technology最新文献

筛选
英文 中文
The Effect of Transition From Multiple Daily Injection Therapy to Automated Insulin Delivery in People With Type 1 Diabetes and Limited Diabetes Self-Management.
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-25 DOI: 10.1177/19322968251315184
Mette J Nitschke, Maria H Hemmingsen, Hanne H Nørgaard, Kristina A Robak, Pia Nørrevang, Merete M Andersen, Thomas F Dejgaard, Ulrik Pedersen-Bjergaard, Peter L Kristensen
{"title":"The Effect of Transition From Multiple Daily Injection Therapy to Automated Insulin Delivery in People With Type 1 Diabetes and Limited Diabetes Self-Management.","authors":"Mette J Nitschke, Maria H Hemmingsen, Hanne H Nørgaard, Kristina A Robak, Pia Nørrevang, Merete M Andersen, Thomas F Dejgaard, Ulrik Pedersen-Bjergaard, Peter L Kristensen","doi":"10.1177/19322968251315184","DOIUrl":"10.1177/19322968251315184","url":null,"abstract":"","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968251315184"},"PeriodicalIF":4.1,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143038958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to Provide Additional Oversight to Ensure That Remote Patient Monitoring for People With Diabetes is Being Used and Billed Appropriately. 如何提供额外的监督,以确保糖尿病患者的远程患者监测被适当地使用和计费。
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-16 DOI: 10.1177/19322968241309357
Cindy N Ho, Alessandra T Ayers, David T Ahn, David C Klonoff
{"title":"How to Provide Additional Oversight to Ensure That Remote Patient Monitoring for People With Diabetes is Being Used and Billed Appropriately.","authors":"Cindy N Ho, Alessandra T Ayers, David T Ahn, David C Klonoff","doi":"10.1177/19322968241309357","DOIUrl":"10.1177/19322968241309357","url":null,"abstract":"<p><p>An Office of the Inspector General (OIG) report on September 19, 2024, highlighted the need for additional oversight of remote patient monitoring (RPM), which is covered by Medicare. OIG noted that Medicare claims frequently lack crucial information that would facilitate proper oversight. While Medicare has published guidelines for reimbursement according to RPM billing codes, greater clarity is needed to avoid inadvertent improper billing practices. In this article, we discuss potential revisions in Medicare policies for documenting RPM services. Such revisions will result in enhanced accountability and traceability of RPM services and reduce the potential for improper billing. Adherence to clear billing guidelines will ensure appropriate allocation of funds and safeguards the future of RPM services for Medicare beneficiaries who genuinely need them.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241309357"},"PeriodicalIF":4.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Mobile Health Applications for Cardiometabolic Risk Reduction in Urban and Rural India: A Pilot, Randomized Controlled Study. 移动医疗应用程序在印度城市和农村降低心脏代谢风险的有效性:一项试点、随机对照研究
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-14 DOI: 10.1177/19322968241310861
Harish Ranjani, Parizad Avari, Sharma Nitika, Narayanaswamy Jagannathan, Nick Oliver, Jonathan Valabhji, Viswanathan Mohan, John Campbell Chambers, Ranjit Mohan Anjana
{"title":"Effectiveness of Mobile Health Applications for Cardiometabolic Risk Reduction in Urban and Rural India: A Pilot, Randomized Controlled Study.","authors":"Harish Ranjani, Parizad Avari, Sharma Nitika, Narayanaswamy Jagannathan, Nick Oliver, Jonathan Valabhji, Viswanathan Mohan, John Campbell Chambers, Ranjit Mohan Anjana","doi":"10.1177/19322968241310861","DOIUrl":"10.1177/19322968241310861","url":null,"abstract":"<p><strong>Introduction: </strong>mHealth technology has the potential to deliver personalized health care; however, data on cardiometabolic risk factors are limited. This study aims to assess the effectiveness of mobile health applications (apps) on cardiometabolic risk factor reduction in adults aged 25 to 60 years in urban and rural India.</p><p><strong>Methods: </strong>The study design was a pilot randomized controlled trial conducted in Tamil Nadu, India. Smartphone users (25-60 years) with basic literacy and at high risk of developing diabetes (Indian Diabetes Risk Score ≥30 and/or fasting blood sugar [FBS] 100-125 mg/dL) were recruited. Four mobile apps (two commercially available, two novel) for cardiometabolic risk reduction were evaluated. Primary outcome (weight loss) was analyzed using intention-to-treat analysis with post hoc analysis and logistic regression models adjusted for confounders.</p><p><strong>Results: </strong>A total of 5264 participants were screened, and 610 were recruited into the study. Participants (7%) dropped out largely due to the COVID-19 pandemic. Data from 567 participants were used for the final analysis. In the intention-to-treat analysis, a significant reduction in body weight was observed in the intervention group as compared with control, more so in the urban (-2.40 kg, 95% confidence interval [CI] = [-3.10, -1.69], <i>P</i> < .001) compared with rural population (-1.19 kg, 95% CI = [-1.55, -0.82], <i>P</i> < .001). Intervention group participants showed significant reductions in body mass index, waist circumference, blood pressure, FBS, total serum cholesterol, and a positive effect on dietary and physical activity behaviors compared with controls.</p><p><strong>Conclusions: </strong>mHealth interventions can reduce diabetes risk, improve cardiometabolic health, and improve lifestyle behaviors in South Asian populations.</p><p><strong>Trial registration: </strong>The trial is registered with the Central Trials Registry, India (CTRI/2020/03/024327).</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241310861"},"PeriodicalIF":4.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using One-Shot Prompting of Non-Fine-Tuned Commercial Artificial Intelligence to Assess Nutrients from Photographs of Japanese Meals. 利用非微调商业人工智能一次性提示评估日本膳食照片中的营养成分。
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-10 DOI: 10.1177/19322968241309889
Yuexiang Ji, Kayo Waki, Toshimasa Yamauchi, Masaomi Nangaku, Kazuhiko Ohe
{"title":"Using One-Shot Prompting of Non-Fine-Tuned Commercial Artificial Intelligence to Assess Nutrients from Photographs of Japanese Meals.","authors":"Yuexiang Ji, Kayo Waki, Toshimasa Yamauchi, Masaomi Nangaku, Kazuhiko Ohe","doi":"10.1177/19322968241309889","DOIUrl":"10.1177/19322968241309889","url":null,"abstract":"<p><strong>Background: </strong>Diet interventions often have poor adherence due to burdensome food logging. Approaches using photographs assessed by artificial intelligence (AI) may make food logging easier, if they are adequately accurate.</p><p><strong>Method: </strong>We used OpenAI's GPT-4o model with one-shot prompts and no fine-tuning to assess energy, fat, protein, carbohydrate, fiber, and salt through photographs of 22 meals, comparing assessments to weighed food records for each meal and to assessments of dieticians.</p><p><strong>Results: </strong>The model had poor performance overall. For fiber, though, the model achieved an intraclass correlation coefficient of 0.71 (0.67-0.74 95% CI), well above the dietician performance of 0.57.</p><p><strong>Conclusions: </strong>The simplest use of current AI via one-shot prompting and no fine-tuning accurately assesses fiber content in meals but is inaccurate for other nutritional parameters.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241309889"},"PeriodicalIF":4.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing Monogenic Diabetes Research and Clinical Care by Creating a Data Commons: The Precision Diabetes Consortium (PREDICT). 通过创建数据共享推进单基因糖尿病研究和临床护理:精准糖尿病联盟(PREDICT)。
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-09 DOI: 10.1177/19322968241310896
Michael E McCullough, Lisa R Letourneau-Freiberg, Rochelle N Naylor, Siri Atma W Greeley, David T Broome, Mustafa Tosur, Raymond J Kreienkamp, Erin Cobry, Neda Rasouli, Toni I Pollin, Miriam S Udler, Liana K Billings, Cyrus Desouza, Carmella Evans-Molina, Suzi Birz, Brian Furner, Michael Watkins, Kaitlyn Ott, Samuel L Volchenboum, Louis H Philipson
{"title":"Advancing Monogenic Diabetes Research and Clinical Care by Creating a Data Commons: The Precision Diabetes Consortium (PREDICT).","authors":"Michael E McCullough, Lisa R Letourneau-Freiberg, Rochelle N Naylor, Siri Atma W Greeley, David T Broome, Mustafa Tosur, Raymond J Kreienkamp, Erin Cobry, Neda Rasouli, Toni I Pollin, Miriam S Udler, Liana K Billings, Cyrus Desouza, Carmella Evans-Molina, Suzi Birz, Brian Furner, Michael Watkins, Kaitlyn Ott, Samuel L Volchenboum, Louis H Philipson","doi":"10.1177/19322968241310896","DOIUrl":"10.1177/19322968241310896","url":null,"abstract":"<p><p>Monogenic diabetes mellitus (MDM) is a group of relatively rare disorders caused by pathogenic variants in key genes that result in hyperglycemia. Lack of identified cases, along with absent data standards, and limited collaboration across institutions have hindered research progress. To address this, the UChicago Monogenic Diabetes Registry (UCMDMR) and UChicago Data for the Common Good (D4CG) created a national consortium of MDM research institutions called the PREcision DIabetes ConsorTium (PREDICT). Following the D4CG model, PREDICT has successfully established a multicenter MDM data commons. PREDICT has created a consensus data dictionary that will be utilized to address critical gaps in understanding of these rare types of diabetes. This approach may be useful for other rare conditions that would benefit from access to harmonized pooled data.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241310896"},"PeriodicalIF":4.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open Ecosystem Through Secure Plug and Play Interoperability: An Overview. 通过安全即插即用互操作性的开放生态系统:概述。
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-08 DOI: 10.1177/19322968241310253
Christoph Fischer
{"title":"Open Ecosystem Through Secure Plug and Play Interoperability: An Overview.","authors":"Christoph Fischer","doi":"10.1177/19322968241310253","DOIUrl":"https://doi.org/10.1177/19322968241310253","url":null,"abstract":"<p><strong>Background: </strong>Interoperability is a critical enabler for integrated Personalized Diabetes Management (iPDM), automated insulin delivery (AID), and the digital transformation of healthcare in general. However, manufacturers still create closed ecosystems (ie, solutions designed to work end-to-end minimizing collaboration with other organizations) with proprietary interfaces because of various interoperability challenges. Therefore, the aim of this article is to provide an overview of how to achieve organizational interoperability in an open ecosystem (ie, solutions designed to integrate different organizations via interoperability standards) for diabetes management.</p><p><strong>Methods: </strong>The proposed interoperability design approach called Secure Plug and Play Interoperability (SPPI) supports building and using interoperable system elements in an open ecosystem. Secure Plug and Play Interoperability enables interoperability over the entire system life cycle with its reference architecture, secure interoperability standards, and organizational capabilities. These standards were developed with participation from healthcare providers, regulatory authorities, payers, academia, and manufacturers. Publicly available information provides examples of implementation support and practical usage.</p><p><strong>Results: </strong>Organizational interoperability in an open ecosystem can be achieved through organizational capabilities and a selection of secure interoperability standards. ISO/IEEE 11073, Bluetooth profiles, and HL7 FHIR with test specifications, test tools, software development kits, and quality assurance programs represent a coordinated selection suitable for building an open ecosystem. Practical usage is demonstrated with real-world solutions that build on these standards.</p><p><strong>Conclusions: </strong>Secure Plug and Play Interoperability facilitates the end-to-end integration of devices, digital products, and services from partners in an open ecosystem. Moreover, even a single manufacturer, who provides all system elements of a solution, can use and benefit from SPPI.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241310253"},"PeriodicalIF":4.1,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glycemia Risk Index is Associated With Risk of Albuminuria Among Individuals With Type 1 Diabetes. 1型糖尿病患者血糖风险指数与蛋白尿风险相关
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-08 DOI: 10.1177/19322968241310850
Ji Yoon Kim, Jee Hee Yoo, Nam Hoon Kim, Jae Hyeon Kim
{"title":"Glycemia Risk Index is Associated With Risk of Albuminuria Among Individuals With Type 1 Diabetes.","authors":"Ji Yoon Kim, Jee Hee Yoo, Nam Hoon Kim, Jae Hyeon Kim","doi":"10.1177/19322968241310850","DOIUrl":"https://doi.org/10.1177/19322968241310850","url":null,"abstract":"<p><strong>Background: </strong>The glycemia risk index (GRI) is a novel composite continuous glucose monitoring (CGM) metric composed of hypoglycemia and hyperglycemia components and is weighted toward extremes. This study aimed to investigate the association between GRI and the risk of albuminuria in type 1 diabetes.</p><p><strong>Methods: </strong>The 90-day CGM tracings of 330 individuals with type 1 diabetes were included in the analysis. Glycemia risk index was divided into five risk zones (A-E), and hypoglycemia and hyperglycemia components were divided into quintiles. Albuminuria was defined as a spot urine albumin-to-creatinine ratio ≥30 mg/g. Associations of albuminuria with GRI and its hypoglycemia and hyperglycemia components were estimated.</p><p><strong>Results: </strong>Mean GRI and glycated hemoglobin (HbA1c) were 40.9 ± 21.3 and 7.3 ± 1.0%, respectively, and the overall prevalence of albuminuria was 17.6%. Prevalence of albuminuria differed significantly by GRI zone (<i>P</i> = .023). In logistic regression analysis, the adjusted odds ratio (OR) of albuminuria per increase in the GRI zone was 1.70 (95% confidence interval [CI]: 1.19-2.41) after adjusting for various factors affecting albuminuria. The association remained significant after adjusting for achievement of the recommended target of time in range (70-180 mg/dL; >70%) or HbA1c (<7%). The hyperglycemia component of GRI was also associated with albuminuria, and the association remained significant even after adjusting for HbA1c level itself (adjusted OR 1.44, 95% CI: 1.05-1.98).</p><p><strong>Conclusions: </strong>Glycemia risk index is significantly associated with albuminuria in individuals with type 1 diabetes.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241310850"},"PeriodicalIF":4.1,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Different Times for Different Metrics: Predicting 90 Days of Intermittently Scanned Continuous Glucose Monitoring Data in Subjects With Type 1 Diabetes on Multiple Daily Injection Therapy. Findings From a Multicentric Real-World Study. 不同时间不同指标:预测每日多次注射治疗的1型糖尿病患者90天间歇性扫描连续血糖监测数据来自多中心真实世界研究的发现。
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-07 DOI: 10.1177/19322968241308564
Alessandro Csermely, Nicolò D Borella, Anna Turazzini, Martina Pilati, Sara S Sheiban, Riccardo C Bonadonna, Roberto Trevisan, Maddalena Trombetta, Giuseppe Lepore
{"title":"Different Times for Different Metrics: Predicting 90 Days of Intermittently Scanned Continuous Glucose Monitoring Data in Subjects With Type 1 Diabetes on Multiple Daily Injection Therapy. Findings From a Multicentric Real-World Study.","authors":"Alessandro Csermely, Nicolò D Borella, Anna Turazzini, Martina Pilati, Sara S Sheiban, Riccardo C Bonadonna, Roberto Trevisan, Maddalena Trombetta, Giuseppe Lepore","doi":"10.1177/19322968241308564","DOIUrl":"https://doi.org/10.1177/19322968241308564","url":null,"abstract":"<p><strong>Aims: </strong>According to the 2023 International Consensus, glucose metrics derived from two-week-long continuous glucose monitoring (CGM) can be extrapolated up to 90 days before. However, no studies have focused on adults with type 1 diabetes (T1D) on multiple daily injections (MDIs) and with second-generation intermittently scanned CGM (isCGM) sensors in a real-world setting.</p><p><strong>Methods: </strong>This real-world, retrospective study included 539 90-day isCGM data from 367 adults with T1D on MDI therapy. For each sensor metric, the coefficients of determination (<i>R</i><sup>2</sup>) were computed for sampling periods from 2 to 12 weeks versus the whole 90-day interval. Correlations were considered strong for <i>R</i><sup>2</sup> ≥0.88.</p><p><strong>Results: </strong>The two-week sampling period displayed strong correlations for time in range (TIR, 70-180 mg/dl; <i>R</i><sup>2</sup> = 0.89) and above range (TAR, >180 mg/dl; <i>R</i><sup>2</sup> = 0.88). The four-week sampling period showed additional strong correlations for time in tight range (TITR, 70-140 mg/dl; <i>R</i><sup>2</sup> = 0.92), for the coefficient of variation (CV; <i>R</i><sup>2</sup> = 0.88), and for the glycemia risk index (GRI; <i>R</i><sup>2</sup> = 0.92). The six-week sampling period displayed an additional strong correlation for time below range (TBR, <70 mg/dl; <i>R</i><sup>2</sup> = 0.90). After stratification by clinical variables, lower <i>R</i><sup>2</sup> values were found for older age quartiles (>40 years), higher CV (>36%), lower sensor use (≤94%), and higher HbA1c (>7.5%).</p><p><strong>Conclusion: </strong>In patients with T1D on MDI, two- to six-week intervals of isCGM use can provide clinically useful estimates of TIR, TAR, TITR, TBR, CV, and GRI, which can be extrapolated to longer (up to 90 days) time intervals. Longer intervals might be needed in case of older age, higher glucose variability, lower sensor use, and higher HbA1c.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241308564"},"PeriodicalIF":4.1,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improved Glycemic Control in Insulin-Treated Individuals With Poorly Controlled Type 2 Diabetes Through Combined Structured Education With Real-Time Continuous Glucose Monitoring. 通过结构化教育与实时连续血糖监测相结合改善胰岛素治疗的2型糖尿病患者的血糖控制
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-03 DOI: 10.1177/19322968241306136
Jee Hee Yoo, Ji Eun Jun, Soo Heon Kwak, Jae Hyeon Kim
{"title":"Improved Glycemic Control in Insulin-Treated Individuals With Poorly Controlled Type 2 Diabetes Through Combined Structured Education With Real-Time Continuous Glucose Monitoring.","authors":"Jee Hee Yoo, Ji Eun Jun, Soo Heon Kwak, Jae Hyeon Kim","doi":"10.1177/19322968241306136","DOIUrl":"10.1177/19322968241306136","url":null,"abstract":"<p><strong>Background: </strong>We evaluated the efficacy of structured individualized education combined with real-time continuous glucose monitoring (rt-CGM, Dexcom G6) in improving glycemic outcomes in insulin-treated adults with poorly controlled type 2 diabetes (T2D).</p><p><strong>Methods: </strong>This multicenter, 16-week, single-arm study included 66 adults with T2D (multiple daily insulin [MDI]: 33; basal insulin: 33) with a ≥7.8%. Each cohort comprised 15 participants aged ≥60 years. The participants attended four educational sessions. The primary outcome was a change in glycated hemoglobin (HbA<sub>1c</sub>) levels between baseline and week 16.</p><p><strong>Results: </strong>Sixty-four individuals were included in this study, with a mean age of 58.3 ± 12.4 years. The mean HbA<sub>1c</sub> levels decreased from 9.0% at baseline to 7.1% at 16 weeks in the MDI group (difference: -1.8%, 95% confidence interval [CI] = -2.3 to -1.3) and from 8.8% to 7.0% in the basal insulin group (difference: -1.8%, 95% CI = -2.1 to -1.4). In the total population, the mean time in range 70 to 180 mg/dL increased by 25.2% (6 hours 4 minutes, 95% CI = 20.6 to 29.8), whereas the time in tight range 70 to 140 mg/dL increased by 17.3% (4 hours 10 minutes, 95% CI = 14.0 to 20.7). Both groups maintained a target of <1% of the time below the range of <54 mg/dL. Improvements in HbA<sub>1c</sub> and CGM metrics were comparable between individuals aged ≥60 years and those aged <60 years (all <i>P</i>-values for interaction >.1).</p><p><strong>Conclusions: </strong>In adults with poorly controlled insulin-treated T2D, rt-CGM use with structured education significantly improved the HbA<sub>1c</sub> and CGM metrics, primarily by reducing hyperglycemia, regardless of age.</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"19322968241306136"},"PeriodicalIF":4.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cross-sectional Relationship Between Use of Automatic Insulin Delivery Systems and Eating Styles Among Older Adults With Type 1 Diabetes: An Exploratory Analysis. 1 型糖尿病老年患者使用胰岛素自动给药系统与饮食方式之间的横断面关系:探索性分析
IF 4.1
Journal of Diabetes Science and Technology Pub Date : 2025-01-01 Epub Date: 2024-11-10 DOI: 10.1177/19322968241296842
Anna R Kahkoska, Jessica Sprinkles, Nikhita Gopisetty, Gabriella Ercolino, Angela Fruik, Rashmi Muthukkumar, Xiaorui Qu, Elizabeth J Mayer-Davis, Angelica Cristello Sarteau
{"title":"The Cross-sectional Relationship Between Use of Automatic Insulin Delivery Systems and Eating Styles Among Older Adults With Type 1 Diabetes: An Exploratory Analysis.","authors":"Anna R Kahkoska, Jessica Sprinkles, Nikhita Gopisetty, Gabriella Ercolino, Angela Fruik, Rashmi Muthukkumar, Xiaorui Qu, Elizabeth J Mayer-Davis, Angelica Cristello Sarteau","doi":"10.1177/19322968241296842","DOIUrl":"10.1177/19322968241296842","url":null,"abstract":"<p><strong>Background: </strong>The number of older adults with type 1 diabetes (T1D) is increasing. Use of automated insulin delivery (AID) may influence nutrition and eating behaviors. We explored how three eating styles (restrained, external, emotional) differ between older adults with T1D who use and do not use AID.</p><p><strong>Methods: </strong>We administered a one-time electronic survey from September to November 2023 to adults ≥65 years with T1D receiving care through a university-affiliated hospital system. Clinical and demographic information was collected from medical records. Eating styles were characterized with the Dutch Eating Behavior Questionnaire.</p><p><strong>Results: </strong>Our sample (<i>n</i> = 77, 95% non-Hispanic white) had mean (SD) age: 71.8 (4.1) years, diabetes duration: 33 (18) years, hemoglobin A1c (HbA1c): 6.83 (1.12%), and body mass index (BMI): 27.3 (4.7) kg/m<sup>2</sup>. Respondents reported variable eating styles, with the highest median scores for external and restrained eating and lower scores for emotional eating. Older adults using AID systems had higher median scores for emotional and external eating, and more varied restrained eating scores compared to those not using AID systems. Weak correlations were found between eating styles and HbA1c (restrained: <i>r</i> = -0.14; external: <i>r</i> = 0.08; emotional: <i>r</i> = 0.15), as well as between restrained (<i>r</i> = 0.09) and external (<i>r</i> = 0.04) eating with BMI, with a small correlation between emotional eating and BMI (<i>r</i> = 0.27).</p><p><strong>Conclusions: </strong>Eating styles may vary between older adult AID users and non-users. To our knowledge, this is the first study to characterize eating styles in this population, though generalizability is limited by a non-diverse and small sample with high technology use overall (eg, continuous glucose monitoring, insulin pumps).</p>","PeriodicalId":15475,"journal":{"name":"Journal of Diabetes Science and Technology","volume":" ","pages":"5-10"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信